DR. GLYNNE EDWARDS (M.D.) – Interventional Cardiology Physician, NPI 1114234895

DR. GLYNNE EDWARDS (M.D.) is a healthcare provider. based in Mason city, Iowa. specializing in INTERVENTIONAL CARDIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD-45116 (IA). The NPI Number for DR. GLYNNE EDWARDS (M.D.) is 1114234895

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. GLYNNE EDWARDS (M.D.)
NPI
1114234895
Phone
(712) 294-7020
Address
621 S ILLINOIS AVE
Enumeration Date
2 September 2010
Last Update Date
5 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4023915055
Graduation Year
2003 (23 years ago)
PAC ID
4486978434
Group Practice PAC ID
4880506062
Professional Enrollment ID
I20220609000624
Address ID
NE681141119OM1120XPLZX409
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

101 INTERVENTIONAL CARDIOLOGY in IA

Provider Addresses for DR. GLYNNE EDWARDS (M.D.)

  • 621 S ILLINOIS AVE

    SUITE 103

    MASON CITY, IA 504015489

    Phone: (712) 294-7020

    Fax: (712) 294-7022

    Type: Mailing

  • 801 5TH ST

    SUITE 201

    SIOUX CITY, IA 511011326

    Phone: (712) 294-7020

    Fax: (712) 294-7022

    Type: Location

  • 2540 N HEALTHY WAY

    FREMONT, NE 680252315

    Phone: (402) 727-7796

    Type: Location

  • PO BOX 3755

    OMAHA, NE 681030755

    Phone: (402) 354-2100

    Fax: (023) 542-1554

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $967.

Total Amount is formed as General ($967) + Research ($0) + Ownership ($0) = $967.

Last reported payment date: 2024-12-07 • Largest payer in this snapshot: ShockWave Medical, Inc ($199).

Total Amount

$967

General + Research + Ownership

Payments

36

Total payment records

General Amount

$967

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180917000185ICardiovascular Disease (Cardiology)SDTBD
I20181204003662ICardiovascular Disease (Cardiology)IATBD
I20220609000624IInterventional CardiologyNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1,295990$0
99214Established patient office or other outpatient visit, 30-39 minutes398249$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report350255$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function348334$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes252129$0
View full utilization report →

Insurance plans in this area (ZIP 50401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880506062View full group profile
NameSpecialtyState
-IA
N E U R O L O G YNE
Family Practice, HospitalistIA
Nurse PractitionerNE
Internal MedicineNE
O B S T E T R I C S/ G Y N E C O L O G YNE
Infectious DiseaseNE
-NE
O B S T E T R I C S/ G Y N E C O L O G YNH
Cardiovascular Disease (Cardiology), Internal MedicineNE

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. GLYNNE EDWARDS (M.D.)?
DR. GLYNNE EDWARDS (M.D.) — NPI 1114234895 — is the standard way to identify this listing.
Does CMS list DR. GLYNNE EDWARDS (M.D.) as active?
Yes — DR. GLYNNE EDWARDS (M.D.) is active in the NPI listing used on this page.
What is DR. GLYNNE EDWARDS (M.D.)'s primary classification?
Interventional Cardiology Physician is the headline specialty for DR. GLYNNE EDWARDS (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. GLYNNE EDWARDS (M.D.) based?
DR. GLYNNE EDWARDS (M.D.) is tied to Mason City, Iowa in the data we show; additional addresses may exist on the full record.
Why does DR. GLYNNE EDWARDS (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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